Medscape Business of Medicine, “A Small Practice’s Fight to Stay Independent: Can It Work?”

This article is encouraging in that in validates what I have often talked about when it comes to the need primary care doctors doing a better job of being accessible to THEIR patients; if they don’t someone else will fill the need. Patients definitely like the convenience of Retail clinics and Urgent care, thus their success and subsequent growth. However, when given a choice, patients would much rather see their own doctor when acute issues or questions come up.

Private practice primary care, especially DPC, is in a unique position to be able to offer more accessible, immediate care. The employed doctors in healthcare systems and those still using the claims-based revenue cycle will find it hard to make this transition quick enough to meet demand. If we do this right, the need for retail clinics and UC will diminish.

Frankly, the existence of physician directed primary care depends on it. Good primary care has to include immediate care.


In a May 2014 Medscape interview, Concierge Medicine Today and the Direct Primary Care Journal, said that there were nearly 4000 physicians “who are verifiably, actively practicing concierge medicine or direct primary care across the United States, with probably another 8000 practicing under the radar.”)

By Neil Versel, MedScape

A Valiant Fight for Independence

OCTOBER 17, 2014 – A six-physician primary care practice in Chicago would rather fight than join.

Subscribe-to-our-NewsletterPrimary Care Medical Associates (PCMA), serving the city’s North Side, decided to buck the trend toward consolidation of medical groups and the urge to sell to a large health system. Their strategy is gutsy, and it entailed some trial and error — but it has been working out for them and could possibly work for you too.

“We were really losing business to urgent care and walk-in clinics,” says internist and PCMA founder Robert G. Perlmuter, MD. “We…

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